Laserfiche WebLink
Certificate Of Completion <br />Envelope Id: 340F6DE761494866951072CD457FA45D Status: Completed <br />Subject: Please DocuSign: CSA Amendment for Teri Black <br />Source Envelope: <br />Document Pages: 5 Signatures: 7 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Carmen Orozco <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & <br />Canada) <br />Stamps: 1 835 E 14th St <br />San Leandro, CA 94577 <br />corozco@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 6/24/2022 1:52:23 PM <br />Holder: Carmen Orozco <br /> corozco@sanleandro.org <br />Location: DocuSign <br />Security Appliance Status: Connected Pool: StateLocal <br />Storage Appliance Status: Connected Pool: City of San Leandro Location: DocuSign <br />Signer Events Signature Timestamp <br />Teri Black <br />Teri@tbcrecruiting.com <br />President <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Signed by link sent to Teri@tbcrecruiting.com <br />Using IP Address: 47.152.34.47 <br />Sent: 6/24/2022 2:01:50 PM <br />Viewed: 6/24/2022 2:05:03 PM <br />Signed: 6/24/2022 2:07:43 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/24/2022 2:05:03 PM <br /> ID: cf2d9f44-4422-4de4-a78a-27c2b9aecfac <br />Emily Hung <br />ehung@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Signed by link sent to ehung@sanleandro.org <br />Using IP Address: 192.83.149.200 <br />Sent: 6/24/2022 2:07:44 PM <br />Viewed: 6/24/2022 2:43:32 PM <br />Signed: 6/24/2022 2:43:45 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/24/2022 2:43:32 PM <br /> ID: ab4abeb5-47a6-4cb4-9e97-6673805d3aa4 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Principal <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Signed by link sent to rpioroda@meyersnave.com <br />Using IP Address: 206.169.145.130 <br />Sent: 6/24/2022 2:43:47 PM <br />Viewed: 6/26/2022 12:37:21 AM <br />Signed: 6/26/2022 12:39:08 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/26/2022 12:37:21 AM <br /> ID: 0f45a05a-cbc1-45d4-a9fc-da19e034bc80